Organization Active NPI

El Dorado Pharmacy LLC

  • Community/Retail Pharmacy
  • Richardson, TX
National Provider Identifier
1588079594
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29317 Issued in TX
Legal business name
EL DORADO PHARMACY LLC
Doing business as
El Dorado Pharmacy, LLC
Practice address
1300 E Arapaho Rd Ste 210
Richardson, TX 75081-2445
Phone
(214) 329-4580
Fax
(214) 329-4599
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua McCooey
Title
Owner
Phone
(214) 329-4562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29317 TX Primary

Addresses

Primary practice location

1300 E Arapaho Rd Ste 210
Richardson, TX 75081-2445

Mailing address

1300 E Arapaho Rd
Suite 210
Richardson, TX 75081-2456
Phone (214) 329-4580

Other identifiers 1

IdentifierTypeStateIssuer
2146614OtherPK

Other names 1

  • El Dorado Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1300 E Arapaho Rd
Ste 210
Richardson, TX 75081
Phone (214) 329-4580

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1588079594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E ARAPAHO RD",
            "address_2": "SUITE 210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812456",
            "telephone_number": "214-329-4580",
            "fax_number": "214-329-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E ARAPAHO RD STE 210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812445",
            "telephone_number": "214-329-4580",
            "fax_number": "214-329-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCOOEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-329-4562"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.